RCT of a care manager intervention for major depression in primary care: 2-year costs for patients with physical vs psychological complaints.

Purpose: Depression care management for primary care patients results in sustained improvement in clinical outcomes with diminishing costs over time. Clinical benefits, however, are concentrated primarily in patients who report to their primary care clinicians psychological rather than exclusively physical symptoms. This study proposes to determine whether the intervention affects outpatient costs differentially when comparing patients who have psychological with patients who have physical complaints.

Clinical practice variations in prescribing antipsychotics for patients with schizophrenia.

Few studies have examined the variations among individual physicians in prescribing antipsychotics for schizophrenia. This study examined clinical practice variations in the route and dosage of antipsychotic medication prescribed for inpatients with schizophrenia by 11 different psychiatrists. The sample consisted of 130 patients with a DSM-III-R diagnosis of schizophrenia who had received inpatient care at a state hospital or Veterans Affairs medical center in the southeastern United States in 1992-1993.

Impact of primary care depression intervention on employment and workplace conflict outcomes: is value added?

Background: Depression causes significant functional impairment in sufferers and often leads to adverse employment outcomes for working individuals. Recovery from depression has been associated with better employment outcomes at one year.

Aims Of The Study: The study s goals were to assess a primary care depression intervention s impact on subsequent employment and workplace conflict outcomes in employed patients with depression.

Impact of ongoing primary care intervention on long term outcomes in uninsured and insured patients with depression.

Background And Objectives: To assess the differential impact of an ongoing primary care depression intervention on uninsured and insured patients' outcomes 12, 18, and 24 months following baseline.

Research Design: Quasi-experimental longitudinal study of insured and uninsured patients with depression receiving treatment from 12 practices randomized to enhanced (intervention) and usual care study conditions.

Subjects: In 1996 to 1997, 383 nonelderly patients with depression (290 insured, 93 uninsured) were enrolled and followed for 24 months.

Managing depression as a chronic disease: a randomised trial of ongoing treatment in primary care.

Objectives: To evaluate the long term effect of ongoing intervention to improve treatment of depression in primary care.

Design: Randomised controlled trial.

Setting: Twelve primary care practices across the United States.